AHRQ Patient Safety Network

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Medication Safety

•Side Effects/Adverse Drug Reactions (64)

•Medication Errors/Preventable Adverse Drug Events (1198)

•Specific to High-Risk Drugs (301)

Origin/Sponsor

•Australia and New Zealand (45)

•Central and South America (10)

•Europe (231)

•North America (1423)

Resource Types

•Audiovisual (23)

•Book/Report (57)

•Clinical Guideline (3)

•Journal Article (1287)

•Legislation/Regulation (25)

•Meeting/Conference (9)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (244)

•Press Release/Announcement (18)

•Special or Theme Issue (17)

•Tools/Toolkit (38)

•Web Resource (30)

Error Types

•Epidemiology of Errors and Adverse Events (664)

•Active Errors (322)

•Latent Errors (106)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (416)

•Legal and Policy Approaches (101)

•Error Reporting and Analysis (496)

•Communication Improvement (418)

•Human Factors Engineering (265)

•Teamwork (45)

•Specialization of Care (166)

•Logistical Approaches (103)

•Culture of Safety (127)

•Technologic Approaches (583)

•Education and Training (249)

Clinical Areas

•Allied Health Services (3)

•Dentistry (1)

•Medicine (1036)

•Nursing (181)

•Pharmacy (741)

Target Audience

•Health Care Providers (1348)

•Health Care Executives and Administrators (1245)

•Non-Health Care Professionals (526)

•Patients (116)

Setting of Care

•Hospitals (1053)

•Psychiatric Facilities (5)

•Residential Facilities (53)

•Ambulatory Care (290)

•Outpatient Surgery (10)

•Patient Transport (11)

1 - 20 of 1769

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STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

Improving the usability of intravenous medication labels to support safe medication delivery.

Bauer DT, Guerlain S. Int J Ind Ergon. 2011;41:394-399.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Inter-rater reliability of a classification system for hospital adverse drug event reports.

Haynes K, Hennessy S, Morales KH, et al. Clin Pharmacol Ther. 2008;83:485-488.

STUDY

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

De Oliveira GS Jr, Rahmani R, Fitzgerald PC, Chang R, McCarthy RJ. Anesth Analg. 2013;116:892-897.

STUDY

Health literacy and medication understanding among hospitalized adults.

Marvanova M, Roumie CL, Eden SK, Cawthon C, Schnipper JL, Kripalani S. J Hosp Med. 2011;6:488-493.

NEWSPAPER/MAGAZINE ARTICLE

Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.

PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

STUDY

Predictors of medication errors among elderly hospital patients.

Picone DM, Titler MG, Dochterman J, et al. Am J Med Qual. 2008;23:115-127.

STUDY

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

Patanwala AE, Sanders AB, Thomas MC, et al. Ann Emerg Med. 2012;59:369-373.

COMMENTARY

Current status of the monitoring of medication practice.

Cousins D. Am J Health Syst Pharm. 2009;66:S49-S56.

STUDY

A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system.

Swiderski SM, Pedersen CA, Schneider PJ, Miller AS. J Patient Saf. 2007;3:91-96.

STUDY

classic

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.

STUDY

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.

Anderegg SV, Demik DE, Carter BL, et al. Pharmacotherapy. 2013;33:11-21.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Enhancing medication use safety: benefits of learning from your peers.

Kazandjian VA, Ogunbo S, Wicker KG, Vaida AJ, Pipesh F. Qual Saf Health Care. 2009;18:331-335.

COMMENTARY

Pharmacy–nursing intervention to improve accuracy and completeness of medication histories.

Tessier EG, Henneman EA, Nathanson B, Plotkin K, Heelon M. Am J Health Syst Pharm. 2010;67:607-611.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

COMMENTARY

Medication tracers: a systems approach to medication safety.

Hendrick EC, Montanya KR, Griffith N. Hosp Pharm. 2007;42:916-920.

STUDY

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2010;67:542-558.

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